Women's lived experiences of being diagnosed with early-stage endometrial cancer and making treatment decisions: A systematic review and thematic synthesis.

OBJECTIVE

We aimed to synthesize evidence from qualitative studies on women's experiences of diagnosis and treatment decision-making for early-stage endometrial cancer, and to identify implications for clinical practice and future research.

METHODS

A systematic review was conducted using Cochrane-Campbell guidance. Searches included CINAHL, EMBASE, and PubMed bibliographic databases. A meta-synthesis of 17 qualitative studies was undertaken using a thematic approach to integrate findings on women's needs, preferences, and priorities throughout the diagnostic and treatment journey.

RESULTS

Three overarching themes were identified: (1) Conditions that prepare or hinder women's ability to engage in decisions at diagnosis, shaped by symptom interpretation, stigma, and emotional shock; (2) Processes that facilitate informed decisions during treatment discussions, highlighting the central role of timely information, clear explanations, and clinician engagement; and (3) Women's understanding of their decisions and regaining control, reflecting short- and long-term impacts of treatment decision-making.

CONCLUSIONS

Findings demonstrate that decision-making unfolds across time rather than at a single clinical encounter. Timely information, and accessible lifestyle and peer support are needed to strengthen decision-making and well-being. Future research should develop strategies to enhance receptivity information that can support decisions for treatment planning, and prioritize underrepresented populations, who experience disproportionally higher endometrial cancer mortality and lower treatment completion rates.